書誌事項
- タイトル別名
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- Clinical investigation of perioperative seizure in chronic subdural hematoma underwent burr-hole surgery
- シュウジュツキ ニ ケイレン オ ガッペイ シタ マンセイコウマク カケッシュセントウジュツ ショウレイ ノ ケントウ
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<p>Objective: Chronic subdural hematoma is one of the most common diseases in neurosurgical practices. The treatment method is well established, but seizures develop as a complication in 2.3% to 20.4% of patients. We examined patients with seizures to clarify the status of patients at the onset of seizures and define risk factors for seizures.</p><p>Methods: From January 2000 through December 2014, we examined 1,077 patients with chronic subdural hematomas (1,257 hematomas) who underwent burr-hole surgery in our department. To identify risk factors for seizures, we retrospectively compared the clinical characteristics of patients with seizures with those of patients without seizures.</p><p>Results: Seizures developed as a complication in 35 patients (3.25%) with 36 hematomas (2.86%). Many patients initially had partial seizures before operation. After hematoma removal, the seizures were relatively well controlled. Risk factors for seizures were past stroke, anticoagulant drug, disturbance of consciousness, hemiparalysis, and hematoma organization.</p><p>Conclusion: It was thought that past stroke had much symptomatic seizures. It was thought that cardiogenic cerebral infarction was caused by anticoagulant administration. Disturbance of consciousness and hemiparalysis were attributed to seizures. Because it was difficult to diagnose organization of hematoma solely on the basis of preoperative imaging studies, preoperatively predicting the risk of seizures is considered challenging.</p>
収録刊行物
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- 神経外傷
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神経外傷 39 (2), 95-102, 2016-12-26
一般社団法人 日本脳神経外傷学会